Individual provider Active NPI

Neda Lopez, LCSW, CSAC

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1578724332
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007394 Issued in VA
Practice address
1425 Battlefield Blvd N Ste 2182
Chesapeake, VA 23320-4585
Phone
(757) 524-0797
Fax
(757) 823-4265
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904007394 VA Primary

Addresses

Primary practice location

1425 Battlefield Blvd N Ste 2182
Chesapeake, VA 23320-4585

Mailing address

1425 Battlefield Blvd N Ste 2182
Chesapeake, VA 23320-4585
Phone (757) 524-0797

Other practice location 1

4216 Virginia Beach Blvd Ste 220
Virginia Beach, VA 23452-1297
Phone (757) 202-4102

Other identifiers 3

IdentifierTypeStateIssuer
1306800198MedicaidVA
Q39404L173OtherVAMEDICARE
1578724332MedicaidVA

Other names 1

  • Neda Lopez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007394VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Artemis Therapeutic Center LLC CurrentSince Dec 8, 2020 Accepting new patients

Locations

1425 Battlefield Blvd N
Ste 2182
Chesapeake, VA 23320
Phone (757) 453-3215

4216 Virginia Beach Blvd
Ste 220
Virginia Beach, VA 23452
Phone (757) 202-4102

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1578724332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BATTLEFIELD BLVD N STE 2182",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204585",
            "telephone_number": "757-524-0797",
            "fax_number": "757-296-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BATTLEFIELD BLVD N STE 2182",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204585",
            "telephone_number": "757-524-0797",
            "fax_number": "757-823-4265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4216 Virginia Beach Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234521297",
            "country_code": "US",
            "telephone_number": "757-202-4102",
            "fax_number": "757-296-6082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "NEDA",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306800198",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q39404L173",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578724332",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEDA",
            "last_name": "LOPEZ",
            "credential": "LCSW, CSAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.